ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: High Fowler's position improves breathing and oxygenation, the priority for dyspnea.
Question 2 of 5
A nurse is collecting data from a client who is experiencing opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hypotension is a common finding in opioid toxicity due to its depressant effects on the autonomic nervous system.
Question 3 of 5
A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports that she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: B
Rationale: Difficulty breathing may indicate anaphylaxis, a medical emergency requiring immediate assessment.
Question 4 of 5
A nurse is caring for a client who has dementia and is experiencing confusion. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Holiday decorations provide environmental cues, reducing confusion in dementia patients.
Question 5 of 5
A nurse is reinforcing teaching with an assistive personnel (AP) about a client who has pertussis. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: An N95 mask provides a higher level of respiratory protection compared to a simple face mask, filtering out at least 95% of airborne particles, including large respiratory droplets that can carry the pertussis bacteria.